TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding

Gustavo Marísio Bacelar-Silva, Rong Chen, Ricardo Cruz-Correia

2012

Abstract

Introduction. Due to the increasing use of Electronic Health Records there is a tendency to implement clinical decision support system (CDSS) based on existing clinical guidelines. The Seventh Report of the Joint National Committee on the Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) is well known and widely used worldwide guideline. Transforming published guidelines into CDSS is a process that still needs to be improved. Aim. To describe the difficulties in understanding the guideline, to recommend better suited descriptions for the contents. Methods. Systematic reading of the guideline for the extraction of the main patient variables, processes and evaluation suggested. The issues were evaluated considering the Domain 4 of the Appraisal of Guidelines for Research & Evaluation II Instrument. Results. Several problems were identified considering whether the recommendations are specific and unambiguous, the different options for management of the condition or health issue are clearly presented and key recommendations are easily identifiable. Discussion. Some initiatives have been made, as the Guideline Elements Models and the development of guideline model representations. This attempt to formalise the JNC 7 guideline allowed to discover many ambiguities, concepts related to prior knowledge and issues related to the distribution of the content presentation.

References

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Paper Citation


in Harvard Style

Bacelar-Silva G., Chen R. and Cruz-Correia R. (2012). TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012) ISBN 978-989-8425-88-1, pages 405-408. DOI: 10.5220/0003787804050408


in Bibtex Style

@conference{healthinf12,
author={Gustavo Marísio Bacelar-Silva and Rong Chen and Ricardo Cruz-Correia},
title={TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012)},
year={2012},
pages={405-408},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0003787804050408},
isbn={978-989-8425-88-1},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2012)
TI - TRANSFORMING A HIGH BLOOD PRESSURE CLINICAL GUIDELINE INTO A CDSS - Difficulties in Understanding
SN - 978-989-8425-88-1
AU - Bacelar-Silva G.
AU - Chen R.
AU - Cruz-Correia R.
PY - 2012
SP - 405
EP - 408
DO - 10.5220/0003787804050408